Course: Pediatric Allergy and Immunology­Residents PEDIATRICS Department……………………………….
Selective.………………………………….
Faculty Coordinator………………………
Participating Faculty………………………
Pediatrics
Allergy & Immunology
Maite de la Morena, M.D.
Indulekha Warrier, M.D.
J. Andrew Bird, M.D.
William Neaville, M.D.
Children's Medical Center
All – Except AAAAI meeting
Hospital…………………………………...
Periods Offered…………………………...
(Feb/March) and July, please check
with office
Length……………………………………..
Max. No. of Students………………………
Fax…………………………………………
First Day Contact………………………….
First Day Time……………………………..
First Day Place…………………………….
Prerequisites……………………………….
I.
4 Weeks
1
(214) 456-8317
Dr. de la Morena – (214) 456-5161
8:00 a.m.
CMC, Pavilion-5th Floor
Allergy & Immunology Clinic
All Pediatric Residents
Course Objectives: This course will provide an in-depth exposure to pediatric Allergy and Immunology via
outpatient clinical experience, one-on-one discussions between student and faculty, attending
structured didactic sessions/conferences, and self-study through prepared curriculum material.
*If interested in A&I as subspecialty a different curriculum will be offered. Please indicate.
II.
Course Goals and Objectives: (based on ACGME competencies for resident education and modified for medical student education)
A. Patient Care Residents, together with supervising faculty must be able to provide patient care that is
compassionate, appropriate, and effective for the treatment of health problems and the promotion of
health.
Objectives: By the end of the rotation students should be able to:
•
Gather an essential and accurate patient history.
•
Perform a focused physical exam relevant for an allergic patient (i.e. allergic shiners,
Dennie-Morgan lines, pale-boggy nasal mucosa, and eczematous lesions).
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Resident Elective
PEDIATRICS
•
Recognize pertinent features of immune deficiency found on physical exam (i.e.
lymphadenopathy, hepatosplenomegaly, absence of tonsils, and dysmorphic facial
features associated with DiGeorge Syndrome).
•
Interpret pulmonary function tests.
•
Interpret skin prick tests.
•
Identify the presence or absence of a thymic shadow on chest x-ray.
•
Determine appropriate indications for ordering specific IgE testing and correctly interpret
testing results.
•
Interpret basic laboratory immunology studies available to the clinician.
•
Integrate clinical history, physical exam findings and spirometry results in order to
appropriately manage asthma, other atopic diseases such as dermatitis, urticaria,
angioedemia, insect allergy and other allergic diseases on an outpatient setting.
Integrate clinical history and physical exam findings in order to develop an appropriate
work-up for a patient with a possible immune deficiency.
•
•
Be able to recognize thymic shadow on chest x-ray
B. Medical Knowledge Residents must demonstrate knowledge about established biomedical and clinical sciences and the
application of this knowledge to patient care.
Objectives: •
Demonstrate an understanding of the basic principles of allergic inflammation and how
they apply to the pathophysiology of various atopic diseases.
•
Demonstrate an analytic approach to clinical situations paying particular attention to the
history and physical examination findings in order to direct an appropriate work-up and
treatment plan.
•
Demonstrate an understanding of the basic principles of clinical immunology and how
they relate clinically when evaluating a patient’s immune function.
•
Understand the pathophysiology of the different allergic diseases including asthma and
obtain a working knowledge of their management. Also gain an understanding of the
different medications used in the management of allergic diseases including their
mechanisms of action, dosages, proper use of delivery devices etc
C. Practice­Based Learning and Improvement Residents must be able to assimilate scientific evidence and improve their patient care practices.
Objectives: Residents are expected to:
•
Locate and assimilate evidence from scientific studies related to patients’ health problem
(i.e. use of immune modulators in eczema or use of IVIG in immunodeficiency).
Page 2 Pediatric Allergy and Immunology
•
Resident Elective
PEDIATRICS
Use information technology to manage information, access on-line medical information,
and support personal education.
D. Interpersonal and Communication Skills Residents must be able to demonstrate interpersonal and communication skills resulting in effective
information exchange with members of the clinic, patients, and patient families.
Objectives: Residents are expected to:
•
Use effective questioning and listening skills to develop an understanding of the patient’s
coping abilities in regards to the medical situation.
•
Work effectively with other members of the healthcare team.
E. Professionalism Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to
ethical principles, and sensitivity to a diverse patient population.
Objectives: Residents are expected to:
III.
•
Demonstrate compassion and responsiveness to the needs of patients.
•
Demonstrate sensitivity to the patient’s culture, age and disability.
•
Demonstrate a commitment to ethical principles pertaining to confidentiality of patient
information.
•
Be on time to clinics and didactic sessions.
Methods of Instruction: A. Didactic •
•
•
•
•
•
Allergy Journal Club (2nd Wednesday from 12– 1:00 PM and 4th Monday
from 5-6:00 PM of every month)
Immunology Clinic Conference (Thursday 8:00 – 9:00 AM)
Allergy Noon Conference (Thursday 12:00 – 1:00 PM)
Allergy Teaching Rounds (1st & 4th Thursday 9:30 – 10:30 AM)
Allergy Research Conference (2nd Thursday of the Month – 9:30 AM)
Interesting Case Conference (3rd Thursday of the Month 9:30 – 10:30 AM)
Page 3 Pediatric Allergy and Immunology
Resident Elective
PEDIATRICS
B. Clinical •
•
Attend pediatric Immunology Clinic with Dr. de la Morena on Monday and
Wednesday AM.
o Patients to be seen on Monday morning are discussed in the Thursday
Immunology Clinic Conference. Each resident needs to be aware of all
patients coming to Immunology clinic.
o Residents will be responsible for presenting one patient per week. Preparation
for this presentation should include reviewing the relevant literature,
establishing a differential diagnosis, and formulating a plan.
Attend pediatric Allergy Clinic:
o Dr. Warrier on Tuesday AM and Thursday PM. (5th floor)
o Dr. Bird on Tuesday PM and Wednesday PM. (4th floor)
o Allergy Clinic with Dr. Neaville Friday AM (5th floor)
•
The resident should focus on new-patient evaluations.
•
During clinics the resident will see the patients, take the history, and perform the
physical examination. Then the patient will be presented to the attending.
•
Summary of Schedule:
Monday
Tuesday Wednesday
Thursday
Friday
8 – 9: Immunology conference
9:30 – 10:30:
Teaching/Research/Case
conference
Dr.
Neaville
J. Club (2nd
Wednesday &
4th Monday of
each month)
Allergy Noon Conference
SELF
STUDY
Dr. Bird
Dr. Warrier
Dr. de la
Morena
AM
Dr. de la
Morena
Dr.Warrier
Noon
PM
CONSULTS
Dr. Bird
C. Resident Responsibilities •
Attend clinics and inpatient consults as outlined.
•
Attend conferences as outlined.
•
Read literature from prepared curriculum.
•
Be on time to clinics and didactic sessions.
•
If interested in A&I fellowship, please advice faculty coordinator. A formal
presentation will need to be prepared and presented at the end of your rotation
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